Sports & Lifestyle Clinic, Inc.

NPI #1578143426 in South Miami, Florida

Provider Information

NPI Number: 1578143426
Entity Type: Organization
Organization Name: Sports & Lifestyle Clinic, Inc.
Primary Specialty: Massage Therapist
Enumeration Date: Apr 13, 2021
Last Updated: Apr 13, 2021

Practice Location

Address: 7600 RED ROAD
Address 2: STE. #333
City: South Miami
State: Florida
ZIP Code: 33143
Phone: (954) 297-3089

Authorized Official

Name: MR. ALFREDO MEDINA
Title: PRESIDENT
Phone: (954) 297-3089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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